Stigma Towards Substance use: Comparing Treatment Seeking Alcohol and Opioid Dependent men
Stigma Towards Substance use: Comparing Treatment Seeking Alcohol and Opioid Dependent men
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DOI：
10.1007/s11469-014-9514-1
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发表时间：
2015-02-01
影响因子：
8
通讯作者：
Basu, Debasish
中科院分区：
文献类型：
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作者：
Mattoo, Surendra K.;Sarkar, Siddharth;Basu, Debasish
尽管具有临床相关影响，但对药物使用者的耻辱仍然是一个未得到充分研究的领域，特别是在发展中国家。这项研究旨在了解印度戒毒中心的药物使用者所报告的药物使用耻辱程度。通过有目的的抽样，从印度北部的一家三级护理医院招募了 50 名患者，每名患者都依赖酒精和阿片类药物，并表示同意。记录人口统计和临床详细信息。两组均采用耻辱量表和物质滥用感知耻辱量表（PSAS）来评估耻辱感。在耻辱量表上，酒精依赖受试者比阿片类药物依赖受试者报告了更高的耻辱感（t = 3.234，p = 0.018）。线性回归显示，根据耻辱量表，依赖持续时间、就业和目前戒酒预示着更大的耻辱感。根据 PSAS，目前正在就业和较高的人均收入预示着对药物使用者的耻辱感较低。药物滥用者的耻辱仍然是一个主要的临床问题，最大限度地减少这种耻辱有助于减轻负面的临床后果，例如延迟寻求治疗和降低治疗依从性。
Despite clinically relevant implications, stigma towards substance users remains an understudied area, especially in developing countries. This study aimed to find the extent of stigma towards substance use reported by substance users attending a de-addiction centre in India. Purposive sampling was used to recruit consenting fifty patients each dependent on alcohol and opioid from a tertiary care hospital in north India. Demographic and clinical details were recorded. The Stigma Scale and the Perceived Stigma of substance Abuse Scale (PSAS) were administered to both the groups to assess stigma. Alcohol dependent subjects reported higher stigma than the opioid dependent subjects on the Stigma Scale (t = 3.234, p = 0.018). Linear regression showed that duration of dependence, being employed and currently abstinent predicted greater stigma experienced as per the Stigma Scale. Presently being employed and higher per-capita income predicted lower perceived stigma towards substance users as per PSAS. Stigma in substance users remains a major clinical concern, minimizing which can help mitigate negative clinical consequences like delayed treatment seeking and reduced treatment compliance.